REQUISITION AND ISSUE SLIP

Entity Name : DEPARTMENT OF SCIENCE AND TECHNOLOGY VI Fund Cluster : ______________________

Division : FAS Responsibility Center Code : 19-001-03-00006-01-02-03

Office : Supply Management Section RIS No. : ________________________________________
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks

can Air Freshener, Room 3

pc Ballpen, blue 5
pc Ballpen, black 15
packet Battery, AA size, 2 pcs/packet 2
packet Battery, AAA size, 2 pcs/packet 2
ream Book Paper, A4 5
ream Book Paper, long size 5
pc Brown Envelope, long size 20
ream Colored Bond Paper, short size, pink color 1
ream Colored Bond Paper, short size, blue color 1
ream Colored Bond Paper, short size, yellow color 2
bot Dishwashing Liquid, Anti-Bacterial, 500ml 1
pc Folder, Expanding, Long Size, Green Color 10
pc Folder, Ordinary, Long Size 15
pad Note Pad, Post-It , Arrow Shape, 100's 2
box Paper Fastener, plastic 3
pc Permanent Marking Pen, blue 1
pc Permanent Marking Pen, black 1
pc Record Book, 300 leaves 2
pc Rubbing Alcohol, 70%, Ethyl, 500ml 1
pc Sign Pen, blue 3
pc Stapler, with Staple Wire Remover, Heavy Duty 1
box Staple Wire No.35 4
pack Sticker Paper, White, Long Size, 20/pack 5
roll Tape, Transparent, 1" 2
roll Tape, Transparent, 2" 2
pc Wyteboard Marker, black 1
pc Wyteboard Marker, red 1
bot White Glue, 130g 1
meter Cleaning Rag/Cloth 5
bot Hand Soap, Liquid, Anti-Bacterial, 500ml 3
bot Mosquito Killer, Water-Based, 500ml 1
gal Muriatic Acid 1
pack Powder Detergent, 1K 3
pc Soft Broom 3
bot Toilet Bowl Cleaner, 500ml 3
Ink Refill for Epson L220 Printer
bot Black 6

bot Cyan 3

bot Magenta 3

bot Yellow 3

cartr Toner for HP Laserjet P1006 Printer, 35A 2

Purpose: For Supply Office and ARD Use

Requested by: Approved by: Issued by: Received by:

Signature :
Printed Name : JOCELYN Z. PUDADERA REMY C. SUNIO JOCELYN Z. PUDADERA JOCELYN Z. PUDADERA
Designation : AOV/Supply Oficer ARD for FAS AOV/Supply Oficer AOV/Supply Oficer
Date :

157
 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name : __________________________________ Fund Cluster : ______________________

Division : FAS Responsibility Center Code : 19-001-03-00006-01-02-03

Office : Supply Management Section RIS No. : _____________________________________
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks

can Air Freshener, Room 3

pc Ballpen, blue 10
pc Ballpen, black 15
ream Book Paper, A4 5
ream Book Paper, long size 5
ream Colored Bond Paper, short size, pink color 2
ream Colored Bond Paper, short size, yellow color 2
bot Dishwashing Liquid, Anti-Bacterial, 500ml 1
pc Folder, Expanding, Long Size, Green Color 10
pc Folder, Ordinary, Long Size 10
pad Note Pad, Post-It , Arrow Shape, 100's 2
box Paper Fastener, plastic 1
pc Record Book, 300 leaves 1
pc Rubbing Alcohol, 70%, Ethyl, 500ml 1
pc Sign Pen, blue 3
gal Muriatic Acid 1
pack Powder Detergent, 1K 3
bot Toilet Bowl Cleaner, 500ml 3
Ink Refill for Epson L220 Printer
bot Black 6

bot Cyan 3

bot Magenta 3

bot Yellow 3

Purpose: For Supply Office and ARD Use

Requested by: Approved by: Issued by: Received by:

Signature :
Printed Name : JOCELYN Z. PUDADERA REMY C. SUNIO JOCELYN Z. PUDADERA JOCELYN Z. PUDADERA
Designation : AOV/Supply Oficer ARD for FAS AOV/Supply Oficer AOV/Supply Oficer
Date :
AO 6/15/02

157
 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name : __________________________________ Fund Cluster : ______________________

Division : Responsibility Center Code : ______________________

Office : RIS No. : _____________________________________
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks

Purpose:

Requested by: Approved by: Issued by: Received by:

Signature :
Printed Name : REMY C. SUNIO JOCELYN Z. PUDADERA
Designation : ARD for FAS AOV/Supply Oficer
Date :
AO 6/15/02

157